LAURA TILLMAN (NPI# 1932295748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932295748 |
Entity Type | Individual |
Full Name | LAURA TILLMAN |
Other Name | LAURA O'CONNOR |
Credential | M.D. |
Practice Address |
4212 North 16th Street Department of Surgery Phoenix AZ 85016 |
Mailing Address |
Po Box 31001-0698 Pasadena CA 91110-0698 |
Practice Telephone | 6022631511 |
Practice Fax Number | 6022631637 |
Mailing Telephone | 6022631511 |
Mailing Fax Number | 6022631619 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 24835 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 483537 | 05 | |
AZ | BCBS | AZ0722860 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245779388 | Laura Tillman | Occupational Therapist | 3333 Broadway, Apt D19c, New York, NY 10031-8726 | 2017-02-22 |
1285014753 | Laura Michelle Tillman | Speech-Language Pathologist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2015-05-31 |
1427475706 | Laura Tillman | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2014-03-25 |
Street Address |
4212 NORTH 16TH STREET DEPARTMENT OF SURGERY |
City | PHOENIX |
State | AZ |
Zip Code | 85016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255399648 | Jonathan A Krakoff | Internal Medicine | 4212 North 16th Street, Phoenix, AZ 85016 | 2006-05-03 |
1316494917 | Heather Lynn Gerle | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2016-09-01 |
1639428196 | Melissa P Miller | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2012-08-30 |
1184983512 | Todd Evan Novick | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-05-04 |
1871850636 | Carlos Jesse Rubalcava | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-04-18 |
1629340195 | Melinda Jill Bechtol | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-31 |
1841562501 | Branden Elaine Watkins | Registered Nurse | 4212 North 16th Street, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319 | 2012-01-27 |
1952600892 | Kelly Elizabeth Owens | Pharmacist | 4212 North 16th Street, Phoenix, AZ 85016 | 2011-03-17 |
1598068587 | Jennifer Marie Lee | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016-5319 | 2010-12-13 |
1003083551 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 4212 North 16th Street, Phoenix Indian Medical Center Ambulatory Surgical Cent, Phoenix, AZ 85016-5319 | 2008-05-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
Find all providers in zip 85016 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144746033 | Az Surgical Solutions | Surgery | 3724 N 3rd St Ste 302, Phoenix, AZ 85012-2034 | 2017-08-22 |
1184072894 | Eugene L De La Cruz Dpm PC | Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-06-03 |
1164821112 | Arizona Surgical Associates, Plc | Surgery | 9305 W Thomas Rd Ste 480, Phoenix, AZ 85037-3375 | 2014-08-15 |
1639443096 | Joseph Patrick Kennelly | Surgery | 5941 E Lafayette Blvd, Phoenix, AZ 85018-4660 | 2012-03-02 |
1285927574 | Para Surgical Specialists, Pllc | Surgery | 9515 W. Camelback Rd, Suite 132, Phoenix, AZ 85037-0000 | 2011-05-19 |
1427347665 | Morley Rosenfield | Surgery | 3039 E Marshall Ave, Phoenix, AZ 85016-3713 | 2011-03-28 |
1962705889 | Richard Lance Chilian | Surgery | 2539 West Bloch Road, Phoenix, AZ 85041-2908 | 2010-12-15 |
1205140027 | Tracy Lynn Freeborn | Surgery | 9250 W Thomas Rd Ste 250, Phoenix, AZ 85037 | 2010-08-04 |
1407176126 | Martin E. Zipser | Surgery | 7320 N Dreamy Draw Dr, Phoenix, AZ 85020-5212 | 2010-06-03 |
1649413089 | Kaavya Reddy Matatova | Surgery | 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | 2009-04-15 |
Find all providers in PHOENIX |
Please comment or provide details below to improve the information on LAURA TILLMAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.